414002058-3-25-2026-05-CC-DALO-DSJ2QL-20260325173607

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002058
Report Date: 03/25/2026
Date Signed: 03/25/2026 05:36:40 PM

Document Has Been Signed on 03/25/2026 05:36 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	VEDAR, JOY VICTORIA & ELIZER B.		FACILITY NUMBER:	414002058
ADMINISTRATOR/ DIRECTOR:	VEDAR, JOY & ELIZER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 755-8536
CITY:	SOUTH SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 7	CENSUS: 5	DATE:	03/25/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:54 PM
MET WITH:	Licensee, Joy Victoria Vedar		TIME VISIT/ INSPECTION COMPLETED:	05:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On March 25, 2026 at approximately 2:00PM Licensing Program Analyst (LPA) Alvarado conducted an unannounced annual visit at the facility. LPA Alvarado met with Licensee Joy Victoria Vedar (L1) and disclosed the purpose of the Annual Inspection visit for today. LPA Alvarado observed Present in the Facility is (L1) supervising five children (1 Infant, three Preschoolers and 1 School Age). Facility is a large license and is operating within capacity limits and ratio during today’s inspection. (L1) was reminded that if no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in 102416.5 Staffing Ratio and Capacity. Everyone present in the household has fingerprint clearance and are associated to the facility as of today’s inspection. Day care area: Located on the 1^st Floor is the Family room (main day care/playroom), bathroom, Bedroom 2 and Deck/Back Yard. Off limit area: Bedroom 1 (next to the family room), garage, living room, dining room, kitchen, entire 2^nd Floor and Front Yard. (L1) along with LPA inspected the home for any health or safety hazards indoors and outdoors. Facility hours of operation are Monday-Friday from 7:00AM-5:30PM. LPA observed age-appropriate toys and learning materials to be present. Furniture is age-appropriate and free of rough, loose, or sharp edges. Wall outlets were observed to be child proof. Continued on Page 2...

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 16

California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

Page: 2 of 16

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: VEDAR, JOY VICTORIA & ELIZER B.	FACILITY NUMBER: 414002058
	VISIT DATE: 03/25/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 2 Continued...

Per (L1) Facility provides breakfast, lunch and snack. LPA suggested to have a designated space for children’s food in the refrigerator. (L1) stated that facility provides napping equipment such as Pack N Plays and Matts. (L1) stated that facility washes weekly or as needed. LPA observed one infant napping on a mat in a sleep sack, and (L1) addressed that sleep sacks are not allowed as its considered a form of swaddle. (L1) removed it off the infant immediately. Safe sleep was discussed with (L1).

During the facility walk through along with (L1) LPA observed the children’s bathroom, which includes one sink and one toilet, to be functional during today’s inspection, LPA observed the bottom drawer to have cleaning materials with no children present on the bottom drawer the left side had a child lock while the right one was no longer functioning. LPA reminded (L1) that items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. LPA reminded (L1) that areas that are not for child use to be properly made inaccessible with child locks. Per (L1) facility does have firearms present in the facility, that were observed to be in a safe lock box located in an area of the home that is off limits.

LPA observed that the facility has a smoke alarm that was tested and observed to be functioning, LPA had the conversation of possibly switching them out to more updated ones. Facility has a carbon monoxide detector that was observed to be functioning during today’s inspection which is located in the second floor. LPA observed a Fire Extinguisher that was observed to be fully charged located in the Main Day Care Room. LPA also observed a fireplace that is located in the living room and in an off-limit portion of the home. Outdoor space which is a deck was observed to have children materials and LPA recommended that (L1) continue to monitor the fencing along the deck and try to re-enforce it as it might start to detach with time.

No pools, hot tubs, spas, fishponds or similar bodies of water observed on the property. (L1) also confirmed there were no bodies of water on property. (L1) was reminded that Babywalkers, bouncers, jumpers and similar items will not be used for children in care and are not allowed.

Continued on page 3...

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC809 (FAS) - (06/04)

Page: 3 of 16

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: VEDAR, JOY VICTORIA & ELIZER B.	FACILITY NUMBER: 414002058
	VISIT DATE: 03/25/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 3 Continued...

LPA reviewed one personnel record, where (L1) does have current Mandated Reporter Training that expires 3/2027 and does not have Current Pediatric First Aid/CPR, (L1) currently has Basic Life Support that is current and expiries 12/2027 which is not sufficient and must be Pediatric First Aid/CPR. LPA reminded (L1) that Pediatric First Aid/CPR and Mandated Reporter Training need to be renewed every two years and for all assistants who are providing care to children.

LPA reviewed four children’s records out of the five that were present, that were observed to have completed with required documents. One file had a few forms missing where LPA reminded (L1). LPA reminded (L1) that including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10 are also included part of the capacity and also who needed required files as well.

LPA reviewed Facility Records and observed partial required documents posted and available for review. Reminding (L1) of a few that were missing and provided during today’s inspection. Facility has not conducted and documented the Emergency Disaster Drills recently LPA reminded (L1) that emergency drills must be continued to be conducted and documented once every six months. LPA provided (L1) with the Entrance Checklist for Family Child Care Homes (LIC 126) for reference regrinding required items to be made available for inspection by the licensee or facility representative.

(L1) was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with (L1) and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed (L1) of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Continued on Page 4...

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC809 (FAS) - (06/04)

Page: 4 of 16

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: VEDAR, JOY VICTORIA & ELIZER B.	FACILITY NUMBER: 414002058
	VISIT DATE: 03/25/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 4 Continued...
(L1) was provided by LPA Alvarado a packet containing the Recently Approved Safe Sleep Regulations in Effect PIN 20-24-CCP , along with a Copy of the Infant Sleep Chart for Documentation of the Infant 15-Minute check, a copy of the Infant Sleeping Plan (LIC 9227), CDSS additional information regarding Safe Sleep in Child Care information and a Copy of the Family Child Care Homes Regulations that include 102352. Definitions, 102417. Operation of a Family Child Care Home, 102425. Infant Safe Sleep, and 102426. Overnight Care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22- 02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

(L1) was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Joy Victoria Vedar, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Continued on Page 5...

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC809 (FAS) - (06/04)

Page: 5 of 16

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: VEDAR, JOY VICTORIA & ELIZER B.	FACILITY NUMBER: 414002058
	VISIT DATE: 03/25/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 5...

See LIC 809-D for deficiencies being cited today on March 25, 2026 under the California Code of Regulations, Title 22, Division 12, Chapter 1. Regarding Physical Plant, Care & Supervision, and Facility Administration.

See LIC9102-TV for Technical Violation issued today regarding Physical Plant and Records.

See LIC9102-TA for Technical Advisory issued today regarding Care & Supervision, Facility Administration, Records, Staff Ratio & Capacity.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided to (L1).

Exit interview conducted and report was reviewed with the licensee, Joy Victoria Vedar.

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/25/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC809 (FAS) - (06/04)

Page: 6 of 16

Document Has Been Signed on 03/25/2026 05:36 PM - It Cannot Be Edited

Created By: Diana Alvarado On 03/25/2026 at 04:10 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: VEDAR, JOY VICTORIA & ELIZER B.	FACILITY NUMBER: 414002058
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/25/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in which LPA observed in the bathroom where children use, that the bottom drawer that was partially locked had cleaning materials which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2026
	Plan of Correction
1 2 3 4	LPA did not observe children in the bathroom at the moment, however the conversation was had with the licensee in regards to ensuring the bottom portion is clear of any materials that can become a hazard to children if accessible. Bottom drawer on the left side had a child lock while the right one was no longer functioning. LPA suggested that the licensee remove those materials or add an additional child lock to the drawer. Licensee will submit a photo to LPA via email by April 3rd, 2026. LPA will conduct a follow up inspection to the facility.

Type B

Section Cited

CCR

102425(f)

Infant Safe Sleep

An infant shall not be swaddled while in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and Record Review, the licensee did not comply with the section cited above in one out of one infant, LPA observed one infant who was napping in a sleep sack which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2026
	Plan of Correction
1 2 3 4	LPA will return to the Infants family the sleep sack and inform them that sleep sacks are not permitted in licensed Family child care homes. Licensee removed the sleep sack immediately off the infant. LPA will conduct a follow up inspection to ensure that sleep sacks are no longer being used.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Ali Zebila
NAME OF LICENSING PROGRAM MANAGER:

	Diana Alvarado
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC809 (FAS) - (06/04)

Page: 7 of 16

Document Has Been Signed on 03/25/2026 05:36 PM - It Cannot Be Edited

Created By: Diana Alvarado On 03/25/2026 at 04:10 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: VEDAR, JOY VICTORIA & ELIZER B.	FACILITY NUMBER: 414002058
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/25/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(j)(1)

Infant Safe Sleep

The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above in one out of one Infant, the licensee has not been documenting the 15-Minute sleep checks which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2026
	Plan of Correction
1 2 3 4	LPA reminded the licensee that 15-Minute sleep checks must be conducted and documented for all infants up to 24 Months. Licensee will start conducting and documenting 15-Minute sleep checks while the infant is resting in care. LPA will conduct a follow up inspection to ensure the sleep logs are being maintained.

Type B

Section Cited

CCR

102416(c)

Personnel Requirements

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above the licensee does not have current Pediatric First Aid/CPR, but is enrolled in Basic Life Support which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2026
	Plan of Correction
1 2 3 4	Licensee will ensure to enroll and have assistant enroll in a Current Pediatric CPR and First Aid Certification issued by American Red Cross or the American Heart Association, or by approved Emergency Medical Services Authority (EMSA) vendor. Licensee will submit proof to LPA Alvarado by April 3rd, 2026. LPA will also conduct a follow up inspection to ensure that the Pediatric CPR and First Aid Certification is maintained.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Ali Zebila
NAME OF LICENSING PROGRAM MANAGER:

	Diana Alvarado
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2026

LIC809 (FAS) - (06/04)

Page: 8 of 16